The Centre for Health Promotion at the University of Toronto defines quality of life as “the degree to which a person enjoys the important possibilities of his or her life”. Possibilities are said to result from the opportunities and limitations a person has and is a reflection of the interaction within a personal and environmental milieu. Enjoyment is taken to be “the experience of satisfaction or the possession or achievement of some characteristic”. The example given is “she enjoys good health” (http://www.utoronto.ca/qol/profile.htm). This definition potentially has important explanatory power. Specifically, it may be possible to say that people living in areas of social and economic deprivation may experience a lower degree of quality of life because of limited possibilities and enjoyment. Alternatively, people may accommodate and/or be unaware of these limitations and express satisfaction with their quality of life.